1990, 09-28 Permit: 90004998 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit/application,state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same.All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not.I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any state or local law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.SIGNATURE OF
OWNER OR GENT `' " ' ��-� DATE APPLICATION
ISSUED PERMIT
?
*j+;'+(..,,, .jr.** }+:*3r.*3,:j;.j,:jt jr.:t.t(.*.ii:•*•R.-ti•*jC..} PERMIT INFORMATION *•*i:'''' ji j(.fir.**Y•it•Y•i ii.*.}.•J 9t'****9+:•;':t+:Yt*
SITE STREET= 13404 F ,
.T,T.,» » 4 SPOKANE WA 99206
PERMIT t.l,::..-.a: S?::.We'.:°' CONNECTION .... ,:irt+i•?
* :',r EEE E t'4f l•TF:: :n,e n'
PLATO= 001244 P?...A ? NAME= ..:, .: .;'; ?. t '.r ? i':.?'{j•t`f-1 t.:E 3RD (:'t..7 1.1
BLOCK= i LOT= r ::. Di:,S s 4=-
AREA= t:}t:,.1 :?y=::0 #.. :' := I_. it. 2".tl t ?:::: y i; :':,Y j..s-„ I ,'y '; F.'./
•x4 O#" Fi1..i.?:»Y,: .... q DWELLINGS= l
:... r.. PHONE= 509 924 5945
STREET=
ADDRESS= ;F { l( ? lWA 99206
CONTACT NAME= C:. ..,•..t... 1.1..t•ji PHONE •-Ii.+h?BE#'.•'._. "=+:?"'r 924 5945
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR::- NA
't * 4 $Pi y ;} .,} p1RR { liiPPiC) PG i ~ SEWER
PERMIT :tl'•i}i•i+i P:*7:i•Ni.'i•i!>.•ini*Ai'it:•'Pi•i+i*•Ni*i+7*•i+i'Ai:+:•lk:ur ih +r +:•'i+r:+i
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY i-EE AMOUNT
PROCESSING F I::.i:. ( i0,09
SEWER CONNECTION i 40,00
.. .... .. . .... .... . .. ..... ....... ..... .... . t.,:••:::., .................
it•8?•'7+:9C$i•!i• !t'i3'9+:•7+:•?•4?')L'!+:'i+i'i?•:+t:'Jb IA•'i?•-ti'•;k•P:'7tr•P•'P:'7+:ih:+:9+:'7? +•F•t'( ,'{t'"{''. ! ;:.t,:{''i t't,r-'t,'{' 7;3+:3+:'&•7?•:?•P:A••!k 3t•')t:91'Vit•:k:+:•)+:'7ti'7?•::ih'R:'7b'Fi'7:'t+:'7+:9t:.k
5904 ,..r
PERMIT TYPE FEE AMOUNT{ t 1t• O. N t PAID AMOUNT OWING
SEWER PERMIT 50,.iIt7 50,;00 „+Jt;;
wt,, 50,00 ;)i:i
F"n...l t. t:.,•E::.D 's it
PRINTED BY : jULIE EHATTO
SEWER STUB AE—BUILT .l.i.:'t.,{t,MA - ..ON TE iib`f••}.:I._6i,:5...E AT THECOUNTY
UTILITIES DEPARTMENT ( •. ,.rt....; 6,", )
CONTRACTOR OR APPLICANT IE TO FIEI,D LOCATE AND
?::.?...?::.w r.., ? .?.i i , r':,i�D POSITION t..... .I . .t O N:'' .0. .•11U;_-.1, ..:'•? L. PRIOR::I . 2 :i ANY CONFIRM OTHER
, _
Y t.�. 17• iv tit•• u t Ii=i t films; [ �!'• i ???-F
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT,
CALL BEtOREYOU l I I (456,--For:0}
SEWER
. - tSTt7S ARE TO
BE CHECKED FF ! , lTO CONNECTION TO INSURE
THAT v; ? r ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
j+:•i?•a+;•a•*,;:,,...n:* CALL F%;R INSPECTION PRIOR TO COVER •n:'P:ik a•ii•3t•:p:n;d+i*
..................
7?'**":'?"'/t')t':+t•7?'9t. :., HOUR ........
**ii..'P:;,,...}t..p..y~..k. 456-3604 .;,t..;,..a•iri't='r#:•iei'irr:Se;}!;
.......:.......... THANK
N,: ..
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t•} t 1,i .3t.: ..,t? t.J.1.t.7....... # ?'•I{1?.,f, 3 .......= h)?-.t 7.tt it 9t••Jt)t.�,..7t.1,..t,..,t..„.Jr;..,.1+;7?�9?-}i 7?t.7`'}t•9k?t•lt•:!t•}?.1...t?..)t,
SPECIAL CONDITION CHECKLIST
Project
Address: Project# �Use:
_ _ _ ____ _
Dept: Date: | ! Condition: mit: Appr:
(in)| ' (out)
| i /
-- --- | | -- '
Dept of Bldgs � { |
�
Spooim |nxp.Final Report
Hydrant( ) -- -- ' ------- . --- ---
Lock - -- ------- i ----�_-'
------- l - '
__ -__�! � -�} � -- ----- -- - ------' ` --- --
____- i --�- | --! - - �-- ' ------ � ------- | --� --
• - | ---
Engineer's | ! RID/CRP — | ` -- - ---
-------! -- --| Easements - - ---' -
--- --- --i ' - -
______ _| __ __ Road p|anv/|mp�vomonm-__
Bonds ---- - -- --'
| -- -- ---- ------
| /
� � - i ----
Planning__ / --� -- Bonds -- - - '
----- -----! - - '
i -- -------'
---- -| --i -- --- --
- - - -| - --
| '
Utilities Double Plumbing
--- ' _-
ULID
! _-{ __ -- ---� ` -------
/ / ---
' --i
--- | � ----
Other | - -- ---
- - - -- -| - _-
__ } -- - --- --- -
------- | -- ! --- -- - - -
`^~~'`'THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE 0pOCCUPANCY ONLY^~~`^~^~~`^^~`~~```^`
Date received for C/O processing: Plans pulled for final processing:
Temporary C/O issued: __--_----
Certificate of
__ - _ __ _� --- -------
Office file review by: Date:-_—___-____----____—___—_--__-�
Filed inopnoo|odby: Date: --�
Ninety days after C/O issuance:
---
Owner/contractor called regarding the return of plans: ____ Date:-_ __'__-____' _
Plans returned: ____' ____—___-_- . Received by: _________
No response from owner/contractor plans destroyed:____ -__--__-